Your browser doesn't support javascript.
loading
Undisclosed financial conflicts of interest in DSM-5-TR: cross sectional analysis.
Davis, Lauren C; Diianni, Alexa T; Drumheller, Sydney R; Elansary, Noha N; D'Ambrozio, Gianna N; Herrawi, Farahdeba; Piper, Brian J; Cosgrove, Lisa.
Afiliación
  • Davis LC; Geisinger Commonwealth School of Medicine, Department of Medical Education, Scranton, PA, USA.
  • Diianni AT; Geisinger Commonwealth School of Medicine, Department of Medical Education, Scranton, PA, USA.
  • Drumheller SR; Geisinger Commonwealth School of Medicine, Department of Medical Education, Scranton, PA, USA.
  • Elansary NN; Geisinger Commonwealth School of Medicine, Department of Medical Education, Scranton, PA, USA.
  • D'Ambrozio GN; University of Massachusetts-Boston, Department of Counseling and School Psychology, Boston, MA, USA.
  • Herrawi F; University of Massachusetts-Boston, Department of Counseling and School Psychology, Boston, MA, USA.
  • Piper BJ; Geisinger Commonwealth School of Medicine, Department of Medical Education, Scranton, PA, USA.
  • Cosgrove L; Geisinger Commonwealth School of Medicine, Center for Pharmacy Innovation and Outcomes, Danville, PA, USA.
BMJ ; 384: e076902, 2024 01 10.
Article en En | MEDLINE | ID: mdl-38199616
ABSTRACT

OBJECTIVE:

To assess the extent and types of financial ties to industry of panel and task force members of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, fifth edition, text revision (DSM-5-TR), published in 2022.

DESIGN:

Cross sectional analysis.

SETTING:

Open Payments database, USA.

PARTICIPANTS:

92 physicians based in the US who served as members of either a panel (n=86) or task force (n=6) on the DSM-5-TR with information recorded in the Centers for Medicare and Medicaid Services Open Payments database during 2016-19. This period was chosen to include the year that development of the DSM-5-TR began and the three years preceding, a time consistent with previous research on conflicts of interest and consistent with the American Psychiatric Association's disclosure requirements for the fifth revision (DSM-5) of the manual. MAIN OUTCOME

MEASURES:

Type and amount of compensation the panel and task force members of DSM-5-TR received during 2016-19.

RESULTS:

After duplicate names had been removed, 168 individuals were identified who served as either panel or task force members of the DSM-5-TR. 92 met the inclusion criteria of being a physician who was based in the US and therefore could be included in Open Payments. Of these 92 individuals, 55 (60%) received payments from industry. Collectively, these panel members received a total of $14.2m (£11.2m; €13m). One third (33.3%) of the task force members had payments reported in Open Payments.

CONCLUSIONS:

Conflicts of interest among panel members of DSM-5-TR were prevalent. Because of the enormous influence of diagnostic and treatment guidelines, the standards for participation on a guideline development panel should be high. A rebuttable presumption should exist for the Diagnostic and Statistical Manual of Mental Disorders to prohibit conflicts of interest among its panel and task force members. When no independent individuals with the requisite expertise are available, individuals with associations to industry could consult to the panels, but they should not have decision making authority on revisions or the inclusion of new disorders.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conflicto de Intereses / Medicare Tipo de estudio: Guideline / Health_economic_evaluation / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Humans País/Región como asunto: America do norte Idioma: En Revista: BMJ Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conflicto de Intereses / Medicare Tipo de estudio: Guideline / Health_economic_evaluation / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Humans País/Región como asunto: America do norte Idioma: En Revista: BMJ Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos